The Effect of Maternal Obesity on Oxytocin Requirements to Achieve Vaginal Delivery
| Autor: | Elizabeth Coviello, April D. Adams, Daphnie Drassinower |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Overweight Oxytocin Body Mass Index Obesity Maternal 03 medical and health sciences Young Adult 0302 clinical medicine Class II obesity Class I obesity Pregnancy Oxytocics medicine Humans Labor Induced Retrospective Studies 030219 obstetrics & reproductive medicine Dose-Response Relationship Drug Obstetrics Class III obesity Vaginal delivery business.industry Obstetrics and Gynecology Middle Aged medicine.disease Delivery Obstetric Pediatrics Perinatology and Child Health Female medicine.symptom business Body mass index medicine.drug |
| Zdroj: | American journal of perinatology. 37(4) |
| ISSN: | 1098-8785 |
| Popis: | Objective Our objective was to determine if obese women are more likely to require oxytocin rates > 20 mU/min to achieve vaginal delivery, compared with normal weight women. Study Design This is a retrospective cohort study of deliveries at the MedStar Washington Hospital Center and MedStar Georgetown University Hospital. Results There were 4,284 births included in the analysis. Thirty-three per cent of deliveries were among women classified as overweight (body mass index [BMI] 25–29.9 kg/m2) and 58% were among women classified as obese (BMI >30.0 kg/m2), 12% were classified as class III obesity (BMI >40 kg/m2). Overall 110 (2.6%) women required an oxytocin rate of >20 mU/min. Doses of oxytocin >20 mU/min for women in the overweight, class I obesity, and class II obesity groups were 2.6, 1.9, and 1.6%, respectively. Deliveries among women with class III obesity had a significantly longer duration of oxytocin exposure (10.7 hours) compared with the normal weight group (8.2 hours, p Conclusion Obese women are more likely to require oxytocin rates more than 20 mU/min, higher doses of oxytocin, and greater duration of oxytocin exposure to achieve a vaginal delivery. |
| Databáze: | OpenAIRE |
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